Individual provider · Type 1 NPI
Teirza D. Bristow, ARNP
Primary Care Nurse Practitioner · Kellogg, ID
NPI number
1700363348
Active
Practice location
100 Mckinley Ave
Kellogg, ID 83837-2502
Fax (208) 625-2051
Mailing address
613 Mckinley Ave
Kellogg, ID 83837-2520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 59228 (ID) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
Other primary care nurse practitioner providers in Kellogg
About NPI 1700363348
Teirza D. Bristow, ARNP's National Provider Identifier is 1700363348, issued on Jul 26, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Kellogg, ID. The record was last updated on Apr 17, 2025.